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Ostomy Pouch, Drainable, High Output, Extended Wear Barrier

Illinois rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Rates data updated July 2026.

How much does Ostomy Pouch, Drainable, High Output, Extended Wear Barrier cost?

$5.37

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $5.37 for this service. The price depends on where it is billed: about $5.37 from a physician practice, and about $4.47 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.37$4.47 to $6.92
FacilityA hospital or hospital-owned outpatient department$4.47$4.47 to $8.13

How much rates vary

Facilitymedian $4 · 10th to 90th $4 to $45Professionalmedian $5 · 10th to 90th $4 to $9
$5$10$20$50$100facility $4professional $5

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$8.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$5.01
Typical High
$8.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$46.77
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.17
Typical High
$6.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$9.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$8.91
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$12.59
Typical High
$16.22
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
United
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$8.13
Typical High
$8.13
United
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.98
Typical High
$7.08

Where Illinois sits

The same service costs 2.1 times more in Kansas than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 27th of 51

$5.37

KS $8.51CO $4.07

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.